81786 1016 November Drive
Tract No. Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
ff' //Aff�LICATION FOR BUILDING PERMIT
Date-------G7'S-' P? Permit
Application is hereb ade for a permit o
a_�_sttory, T e Byilding Use Zone 47 )
at lU /, ZU —zs�l�/�.0 Occupancy T
to be occupied only as ,P�rk' g,SQace
in accordance with Plans, Specifications and P otl pla�ed hE..WitK.V Fi e.Sp=lnkler
/ O Emer. Elec+'
Estimated Value of Improvements, $ .
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in any manner so a to via fe the workmen's compensation laws oalifornia
Owner /N� Address I
z4a
gy die•L—C;)4 6 . Address
RECORD OF INSPECTION
Foundation Frame
Stucco Finish Z 7- -7
1016 November Drive H. M. King �u��
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